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Organization

CHILDREN'S HEALTHCARE OF ATLANTA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MALLORY MATHIS CARROLL RN, MSN, FNP (CARDIAC TRANSPLANT COORDINATOR)
(404) 785-6395
Entity
Organization

Contact information

Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6395
(404) 785-1994
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6395
(404) 785-1994

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
RN198991
GA

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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